Shenandoah Tx Endoscopy Asc Llc

NPI 1619065273

Information of Shenandoah Tx Endoscopy Asc Llc

The NPI 1619065273 is an Organization type. NPI No 1619065273 belongs to Shenandoah Tx Endoscopy Asc Llc. Shenandoah Tx Endoscopy Asc Llc specializes in Ambulatory Surgical. is practising at 111 Vision Park Blvd, The Woodlands, Texas 77384. You can also contact him via phone number (936) 321-8910.

Practice address located

  • 111 Vision Park Blvd
  • The Woodlands, Texas 77384
  • (936) 321-8910
  • (936) 321-8910

Mailling address located

  • 111 Vision Park Blvd
  • The Woodlands, Texas 77384
  • (936) 321-8910
  • (936) 321-8913
Shenandoah Tx Endoscopy Asc Llc is PECOS enrolled.
NPI No 1619065273
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes261QA1903XAmbulatory Surgical008420Texas
Identifier for this provider
StateIdentifierTypeIssuer
n/a45C0001457Medicare Oscar/Certificationn/a
n/a=========OtherTRICARE
TXASC330Medicare PINn/a
TXP00476562OtherRAILROAD MEDICARE
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